PHAN H THANH M D P C (NPI# 1063682219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063682219 |
| Entity Type | Organization |
| Organization Name | PHAN H THANH M D P C |
| Practice Address |
4000 Highland Rd Suite 110 Waterford MI 48328-2167 |
| Practice Telephone | 2486811025 |
| Practice Fax Number | 2486811533 |
| Mailing Telephone | 2486811025 |
| Mailing Fax Number | 2486811533 |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-04-04 |
| Authorized Official Name | DR. THANH HUU PHAN (PRESIDENT) |
| Authorized Official Telephone | 2486811025 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
4301 035554 | MI | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | 4301 035554 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | HAP | 87199A | 01 |
| MI | BCBSM/BCN | 0206316622 | 01 |
| Street Address |
4000 HIGHLAND RD SUITE 110 |
| City | WATERFORD |
| State | MI |
| Zip Code | 48328-2167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225098395 | Sharath S Chandra | Internal Medicine | 4000 Highland Rd, Ste 109, Waterford, MI 48328-2167 | 2006-03-24 |
| 1568836989 | Amarjeet Sethi Md Plc | Internal Medicine | 4000 Highland Rd, Ste 130, Waterford, MI 48328-2167 | 2015-11-23 |
| 1346614773 | Upendra Dhanjal Md Plc | Internal Medicine | 4000 Highland Rd, Ste 130, Waterford, MI 48328-2167 | 2015-11-23 |
| 1326464231 | Aljundi Medical Pllc | Internal Medicine | 4000 Highland Rd, Suite 104, Waterford, MI 48328-2167 | 2014-03-16 |
| 1689921819 | Pragnya J Patel | Pharmacist | 4000 Highland Rd, Suite 113, Waterford, MI 48328-2167 | 2012-08-07 |
| 1043586027 | Nitisha Hiranandani | Family Medicine | 4000 Highland Rd, Ste. 114, Waterford, MI 48328-2167 | 2012-03-23 |
| 1558506451 | Highland Pharmacy LLC | Clinic/Center | 4000 Highland Rd, Ste 113, Waterford, MI 48328-2167 | 2008-12-05 |
| 1386889491 | Highland Pharmacy LLC | Pharmacist | 4000 Highland Rd, Suite#113, Waterford, MI 48328-2167 | 2008-12-04 |
| 1548430945 | Thabet Abbarah Md Ent PC | Otolaryngology | 4000 Highland Rd, Suite 115, Waterford, MI 48328-2167 | 2008-03-03 |
| 1164601035 | Gi Diagnostic Center Waterford | Specialist | 4000 Highland Rd, Suite 100, Waterford, MI 48328-2167 | 2007-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1437631850 | Rana Ismail | Pharmacist | 3273 West Huron St, Waterford, MI 48328 | 2018-09-01 |
| 1588181978 | India Dunlap | Social Worker | 279 Summit Dr., Waterford, MI 48328 | 2017-08-25 |
| 1689191280 | Sydney Strandberg | Social Worker | 1145 Parkway, Waterford, MI 48328 | 2017-08-24 |
| 1467982074 | Briana Greenlee | Dietitian, Registered | 3819 Faber Terrace, Waterford, MI 48328 | 2017-06-15 |
| 1922537364 | Lourdes Alzheimer's Special Care | Custodial Care Facility | 2400 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1013446459 | Lourdes Assisted Living | Assisted Living Facility | 2450 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1588019053 | Legacy Dermatology Group PC | Dermatology | 1392 S Cass Lake Rd, Waterford, MI 48328 | 2016-05-03 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| Find all providers in zip 48328 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336571843 | Carrie M Reynolds | Surgery | 5 Scenic View Dr, Waterford, CT 06385 | 2013-08-07 |
| 1447262563 | Mary Lou Spitz Md | Surgery | 1368 Mill Creek Dr, Waterford, MI 48327-3091 | 2006-08-13 |
| 1801834130 | John Marshall Ketner | Surgery | 5624 Highland Rd, Waterford, MI 48327-1926 | 2006-06-02 |
| 1447435706 | Dana M Busch Do Pllc | Surgery | 5624 Highland Rd, Waterford, MI 48327-1926 | 2008-01-07 |
| 1689762577 | Dana M Busch | Surgery | 5624 Highland Rd, Waterford, MI 48327 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508475237 | Dr Dayhim Pllc | Surgery | 12203 Shearwater Cir, Commerce Township, MI 48390-4260 | 2020-07-28 |
| 1922624923 | Dr Anthony Joseph Md Pllc | Surgery | 2330 S Milford Rd Ste 120, Highland, MI 48357-4982 | 2020-06-25 |
| 1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
| 1922623081 | Joon B Kim | Surgery | 1200 Michigan Ave Ste 655, East Lansing, MI 48823-4099 | 2020-06-14 |
| 1932724101 | Alec Jerry Raniwsky | Surgery | 22250 Providence Drive 7pmb Suite #703a, Southfield, MI 48075-4825 | 2020-06-12 |
| 1184245771 | Upper Michigan Associates LLC | Surgery | 1414 W Fair Ave Ste 235, Marquette, MI 49855-5406 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1487275509 | Erika C Michelin | Surgery | 28080 Grand River Ave Ste 208, Farmington Hills, MI 48336-5966 | 2020-04-29 |
| 1063047629 | Suzanne A. Law, D.o., P.C. | Surgery | G4007 W Court St Ste E, Flint, MI 48532-3560 | 2020-03-04 |
| 1801454871 | Dakita Mack | Surgery | 28050 Grand River Ave Ste 208n, Farmington Hills, MI 48336-5919 | 2019-06-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.